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Maren Wallace

NPI 1467322818 · on the registry since 2025

Practice

Address
4 Farrington Ave Apt 5
Allston, MA 02134
Phone
(585) 406-5894

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-11-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts